National MedCHECK PRO  
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2000 LIST OF EXCLUDED INDIVIDUALS/ENTITIES, DHHS Office of Inspector General
Record ID: 336421
Publication Issue: Reinstatement Actions Downloaded
First Name: test Last Name: test
Middle Initial: L Suffix:  
Title:   DOB: 10/04/1954
Provider Number: B46142
Provider Type: GENERAL: MEDICAL PRACTICE, MD ; SPECIALTY: FAMILY PHYSICIAN/GP
Provider Category: PHYSICIANS/SURGEONS & PHYSICIAN ASSISTANTS
Address: 123 Easy ST City: Ocala
State: FL Zip: 49525
Action Code: 1128b3
Action: REINSTATEMENT: 1128(b)(3) Conviction relating to controlled substances.
Effective Date: 02/21/1990 End of Term:  
Date of Non Coverage of Referrals by Provider:   Reinstatement Date: 03/06/2001
Reporting State: US
Sanctioning Authority: DHHS Office of Inspector General
Run Date: 03/01/2001
Notes: Some Large Text
Notes: The Provider_Num field contains the UPIN.
Notes: Some Text
Hits: 4
name
Last Name: test First Name: test
Type: individual
Programs: testing programs Remarks: remarks
Alias Name: alias name Type: individual
United Nation Sanction List
Last Name: test test Al-Tikriti First Name:  
Type: individual
Programs: UNSL(United Nation Sanction List) Remarks: DOB 4/28/1937; POB al-Awja Tikrit; SCC: 1483 (2003); Last Updated: 06/02/2004
Alias Name: aka, ABU ALI Type: individual
European Union List
Last Name: test First Name: test
Type: individual
Programs: Europe(European Union List) Remarks: remarks
Alias Name: test alias Type: individual
Alias Name: test alias Type: individual
Last Name: test Al-Tikriti First Name: Qusay test
Type: individual
Programs: Europe(European Union List) Remarks: remarks

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